Abstract
The aim of the study was to evaluate the impact of a long-term rehabilitation on chronic fatigue and cardiorespiratory parameters in patients with chronic heart failure. One hundred seventy patients with class III-IV (NYHA) chronic heart failure were examined. The study population was divided into two groups: long-term rehabilitation group and control group. They underwent cardiopulmonary exercise test and completed questionnaires on chronic fatigue (MFI-20L, DUFS, and DEFS). Measurements were repeated 3 and 6 months after long-term complex rehabilitation. According to the data of MFI-20L, DUFS, and DEFS questionnaires, 170 patients (100%) with class III-IV (NYHA) chronic heart failure complained of fatigue. Overall daily fatigue was 56.8+/-28.5 points on a 100-point scale, and after 6-month rehabilitation, this parameter was statistically significantly reduced on all scales (P<0.05). Physical fatigue and self-care improved in controls. Cardiopulmonary exercise test showed that parameters of hyperventilation, ventilatory equivalents, and pCO2 were significantly improved in rehabilitation group after 6 months as compared to baseline data (P<0.05), but not in the control group. Patients with class III-IV (NYHA) chronic heart failure experience chronic fatigue, which reduces their motivation and self-care abilities. Long-term complex rehabilitation programs improve all parameters of chronic fatigue, respiratory efficiency, and prognostic indicator of chronic heart failure--ventilatory equivalent for carbon dioxide.
Highlights
The aim of the study was to evaluate the impact of a long-term rehabilitation on chronic fatigue and cardiorespiratory parameters in patients with chronic heart failure
According to the data of MFI-20L, DUFS, and DEFS questionnaires, 170 patients (100%) with class III–IV (NYHA) chronic heart failure complained of fatigue
Overall daily fatigue was 56.8±28.5 points on a 100-point scale, and after 6-month rehabilitation, this parameter was statistically significantly reduced on all scales (P
Summary
Donatas Vasiliauskas[1, 2], Aušra Kavoliūnienė[2], Lina Jasiukevičienė[1], Vytautas Grižas[1], Audronė Statkevičienė[2], Lina Leimonienė[1], Vida Tumynienė[1], Raimondas Kubilius[2]. Įvertinti sergančiųjų lėtiniu širdies nepakankamumu ilgalaikio reabilitacinio gydymo poveikį lėtiniam nuovargiui ir kardiorespiraciniams rodmenims. Ištirta 170 sergančiųjų III–IV funkcinės klasės lėtiniu širdies nepakankamumu. Sergančiųjų III–IV funkcinės klasės širdies nepakankamumu, MFI-20L klausimyno duomenimis, 170 (100 proc.) pacientų skundėsi kasdieniu nuovargiu. Reabilitacijos grupėje nuovargis apskaičiuotas 56,8±28,5 balo 100 balų skalėje, po 6 mėn. Medikamentinio ir reabilitacinio gydymo nuovargio pojūtis statistiškai reikšmingai (p
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